Opportunity Information: Apply for HRSA 22 148
The Healthy Start Supplement: Community-Based Doulas (Funding Opportunity Number HRSA-22-148) is a discretionary grant offered by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA), under CFDA 93.926. It provides supplemental funding to support the Healthy Start (HS) program, formally known as the Healthy Start Initiative: Eliminating Disparities in Perinatal Health. At its core, Healthy Start aims to improve health outcomes before, during, and after pregnancy while reducing racial and ethnic disparities in infant deaths and other poor perinatal outcomes. This particular supplement is focused on expanding access to doula care in Healthy Start service areas experiencing the highest burden of infant and maternal mortality, with an emphasis on reaching women at higher risk for adverse birth outcomes.
The central purpose of the supplement is to build and strengthen a community-based doula workforce and connect that workforce directly to Healthy Start participants. Funded programs are expected to increase both the supply of doulas in their target communities and the actual number of participants who receive doula services. Doulas supported through this funding are expected to provide continuous support across pregnancy, labor and delivery, and into the postpartum period for at least three months after birth. HRSA frames doulas as an important strategy for advancing health equity, reducing disparities in infant mortality and maternal mortality, and improving overall perinatal outcomes, while also helping create sustainable employment and career pathways that strengthen the maternal and child health workforce at the community level.
Grant funds are specifically intended to cover the practical building blocks needed to expand doula services: training, certification, and compensation. Recipients are expected not only to pay for doula education and credentialing, but also to ensure doulas are compensated for their work with Healthy Start clients. HRSA also emphasizes sustainability, meaning applicants should describe how their doula model will continue after the supplemental funding period ends. This may include planning for longer-term funding, building partnerships, aligning with reimbursement options where possible, or integrating doula services into broader community health and social service systems.
Programs have flexibility in how they expand doula capacity, and HRSA encourages approaches that fit local needs. Recipients can hire doulas as full-time staff, contract with doulas on a per-birth basis, or use other staffing and service-delivery models depending on community context and operational capacity. Regardless of the hiring approach, the expectation is that doula services are effective, culturally responsive, and aligned with the needs of the community and the Healthy Start priority population. Applications should clearly explain how doulas will deliver pregnancy and childbirth education, provide labor coaching and continuous support, encourage and support breastfeeding (including promoting breastfeeding initiation), connect participants early to health care and relevant social services, and foster parental attachment. In other words, the doula role is positioned not only as birth support, but as a bridge to education, empowerment, care navigation, and postpartum support.
Performance expectations are concrete. With this supplemental funding, recipients are expected to provide doula services to at least 100 Healthy Start participants, covering prenatal support, attendance at birth, and short-term postpartum support within three months after delivery. HRSA also expects the funding to expand the number of doulas available in the target community by supporting training pipelines and certification completion. Applicants should make a clear case that their proposed doula services will directly address the specific disparities and birth outcome challenges affecting their Healthy Start service area, and that their approach is designed to reach participants with the highest levels of need.
The opportunity includes a timeline of program objectives that recipients are expected to meet, although HRSA notes the timeline can vary somewhat depending on whether doulas are hired as employees or engaged as contractors. By November 2022, recipients are expected to have contracts in place with one or more doula training organizations to provide doula training. By February 2023, recipients should recruit at least two doula candidates. By May 2023, recipients should facilitate training for each hired doula. By February 2024, doulas should complete all requirements for a birth doula certification selected by the recipient, with examples including DONA International and CAPPA. By March 2024, recipients should have delivered prenatal, birth, and postpartum doula support (within three months after birth) to a minimum of 100 Healthy Start participants. HRSA also suggests a retention-oriented practice: recipients may consider using a formal agreement with hired doulas confirming their intent to provide services to Healthy Start clients for a defined period of performance.
Key administrative details include an award ceiling of $180,000, an anticipated 25 awards, and original key dates showing creation on April 1, 2022, with an original closing date of May 31, 2022. Eligibility is listed broadly as "Others," with further clarification referenced in the opportunity materials. Overall, the supplement is designed as a targeted, workforce-and-service expansion investment: it strengthens doula capacity through paid training and certification, deploys doulas to provide consistent support from pregnancy through early postpartum, and requires measurable reach and outcomes focused on communities most affected by maternal and infant health inequities.Apply for HRSA 22 148
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Healthy Start Supplement: Community-Based Doulas" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.926.
- This funding opportunity was created on Apr 01, 2022.
- Applicants must submit their applications by May 31, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $180,000.00 in funding.
- The number of recipients for this funding is limited to 25 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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